Common use of Service Request Clause in Contracts

Service Request. An Enrollee’s oral or written request of the Contractor to authorize and pay for a benefit or service. This request for services shall include Covered Services as referenced in Section 2.7 and defined in Appendix C. Service Requests may also be referred to as: requests for Covered Services, requests for coverage decisions or requests for Integrated Organization Determinations.

Appears in 4 contracts

Sources: Contract for Senior Care Options Plans, Senior Care Options Contract, Contract for One Care Plans

Service Request. An Enrollee’s oral or written request of the Contractor to authorize and pay for a benefit or service. This request for services shall include Covered Services as referenced in Section 2.7 Appendix A and defined in Appendix C. B. Service Requests may also be referred to as: requests for Covered Services, requests for coverage decisions or requests for Integrated Organization Determinationsorganization determinations. State — The Commonwealth of Massachusetts.

Appears in 3 contracts

Sources: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model